No vaccination is required from travellers, except for yellow fever and cholera if you have come from or passed through an infected area. However, everyone had better take preventive measures against malaria, hepatitis (an injection of gammaglobuline) and vaccines against cholera and yellow fever.

Bilharzia (schistosomiasis) is common but can be avoided by steering clear of swimming in fresh water. Swimming pools which are well-chlorinated and maintained are safe.

A few useful phone numbers (Antananarivo):

Institut Pasteur de Madagascar Tel: 22 401 64

Espace Médical (SOS Médecins) Tel: 22 625 66

Centre Hospitalier de Soavinandriana Tel: 22 397 51

Hôpital Militaire HJRA Anosy Tel: 22 279 79

Hôpital Joseph Raseta, Befelatanana Tel: 22 223 84

Polyclinique d’Ilafy Tel: 22 425 69

CDT Centre de Diagnostique de Tana Tel: 22 307 60

CDU Cité Planton Tel: 22 329 56

Clinique CSI Behoririka Tel: 22 641 28

Clinique d’Anosibe (OSTIE) Tel: 22 290 56

There are also private clinics and emergency centres; the list is regularly published in daily newspapers.